Wichita Family Dental Partnership

NPI #1346597069 in Wichita, Kansas

Provider Information

NPI Number: 1346597069
Entity Type: Organization
Organization Name: Wichita Family Dental Partnership
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 13, 2012
Last Updated: Aug 13, 2012

Practice Location

Address: 9339 E 21ST ST N
Address 2: SUITE 200
City: Wichita
State: Kansas
ZIP Code: 67206-2971
Phone: (316) 630-9339

Authorized Official

Name: CHARLES H PIERSON, D.D.S.
Title: DENTIST
Phone: (316) 630-9339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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